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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FREDRICK CHARLES WAGNER MD
NPI 1609869635
Radiology - Radiation Oncology in Portland, OR

Active since August 24, 2005
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-2195(503) 216-2196 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fredrick Charles Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDRICK CHARLES WAGNER MD (NPI 1609869635) is an individual radiation oncology provider in Portland, Oregon, licensed in Oregon (MD09972) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1609869635
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameFREDRICK CHARLES WAGNERCredential: MD
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing Address975 Se Sandy Blvd, Suite 200Portland, OR 97214-1308 · (503) 963-2846 · Fax (503) 963-9505
Phone(503) 216-2195
Fax(503) 216-2196
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609869635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in OR · MD09972
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
9205 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Other Identifiers 2

Medicaid242487OR
Medicaid8236705WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredrick Wagner's NPI number?

The NPI number for Fredrick Wagner is 1609869635. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Fredrick Wagner located?

Fredrick Wagner practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-2195.

What is Fredrick Wagner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Fredrick Wagner was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.